Chronic Care Management Survey Released

Survey-Mobile-SliderPYA and Enli Health Intelligence have released the results of a new national survey, providing insights into current chronic care management programs and informing future initiatives.

There is significant interest in new Medicare reimbursement for chronic care management (CCM), with 26% of eligible providers having already launched CCM programs and another 23% intending to do so in the next 12 months.  These early adopters, however, are struggling with (1) physician engagement, (2) patient education, (3) efficient processes, and (4) regulatory compliance.

These are some of the key findings of the National Chronic Care Management Survey 2015 released by PYA and Enli Health Intelligence.  The survey offers new insights for providers and policy makers, as well as vendors offering products and services to support providers’ CCM programs.

“New Medicare reimbursement for CCM offers a bridge from volume-based to value-based reimbursement, as it provides fee-for-service revenue to support development of population health competencies,” said PYA Principal Martie Ross.  “For a number of reasons, however, providers are finding it challenging to walk across that bridge.”

“While many had hoped that Medicare would simplify the CCM billing rules to encourage greater participation, the agency took no such action in the 2016 Medicare Physician Fee Schedule Final Rule released on October 30,” Ross continued.  “Now, we need to address CCM challenges head on, to ensure patients suffering with chronic conditions have access to these vital services.”

The survey report addresses provider attitudes, intent, and experience with CCM program deployment including:

  • Barriers and accelerators to adoption including program design, staffing, supportive technology, and participation in alternative payment models
  • The challenge of physician engagement and patient education
  • Actual time spent (in addition to the reimbursed 20 minutes), months billed, investments made, and expectations for economic return.

The survey results are based on 309 responses representative of 7,328 entities across enterprise and independently owned ambulatory clinics. The results achieved a 95% confidence level, with a confidence interval of +/- 5.5.

The National Provider Survey on CCM is the latest contribution to a growing library of resources from PYA, including the industry-leading white paper, Providing and Billing Medicare for Chronic Care Management, and subsequent Chronic Care Management Clinical Services Manual.

PYA is a recognized industry leader in CCM support services, assisting organizations in developing effective and efficient CCM programs by translating complicated rules and regulations into practical, straightforward strategies. Enli Health Intelligence has been recognized by IDC Health Insights as the only healthcare IT company providing a complete technology solution for CCM.

** Survey results presented in Webinar on December 3 **

PYA and Enli hosted a webinar on Thursday, December 3rd to present the survey findings and their implications for healthcare providers.
Those interested can view the recording at the following link, Webcast: National Chronic Care Management 2015 Survey Results


Martie Ross

Martie Ross

Principal

Lori Foley

Lori Foley

Principal

Related Posts
PYA was ranked highly for female percentage ownership among the 100 largest accounting firms in the U.S. by Inside Public Accounting. PYA, a national management consulting and accounting firm, has...
Read More

PYA One of the Highest Female Percentage Ownership Among Top 100 U.S. Accounting Firms

PYA is ranked by Modern Healthcare as the nation’s 15th largest healthcare management consulting firm. PYA, a healthcare management consulting firm, is among the nation’s Top 15 largest healthcare management...
Read More

Modern Healthcare Ranks PYA Top 15 Healthcare Consulting Firm

The Internal Revenue Service (IRS) recently reported the first revocation of a hospital’s tax-exempt status under the Internal Revenue Code (IRC) Section 501(r) requirements of the Affordable Care Act (ACA)....
Read More

Tax-Exempt Status Revoked: Is Your Hospital’s Tax-Exempt Status Safe?

With more than 15.5 million people in the U.S. signed up for high-deductible health plans, growing patient financial responsibility is leading to higher consumer sensitivity relating to healthcare costs.  In...
Read More

Strengthening Your Consumer-Based Platform: Affordability

While the tide continues to shift toward physician practice and health system integration, many organizations struggle with alignment of culture, goals, and operations.  This leads to a cycle of frustration...
Read More
physician-hospital integration

Relationship Transformation: Top 10 Considerations for Successful Physician-Hospital Integration

Back in June, when the Centers for Medicare & Medicaid Services (CMS) announced it would delay the effective date of the mandatory acute myocardial infarction (AMI) and coronary artery bypass...
Read More
episode payment models

CMS Cancels Episode Payment Models: Now What?

In order to help healthcare entities better evaluate their compliance efforts when it comes to physician contract reviews, PYA has created a checklist that provides a mechanism for users to...
Read More
physician contract review

New Tool from PYA: Physician Contract Review Checklist

As a physician executive, I’ve learned a few solid lessons when it comes to change management.  A mantra that serves me well: We will make this simple, but it is...
Read More

Realizing the EHR Vision—When Simple Isn’t Always Easy– A Physician Executive’s Perspective

PYA has released a white paper that provides valuation guidance to hospitals considering telemedicine arrangements for providing much-needed healthcare services at lower costs. As patient demand increases and the availability...
Read More

New PYA White Paper: An Introduction to Valuing Telemedicine

Share This Insight

If you received value from this article, please share it with your network (e.g., Facebook, Twitter, LinkedIn). Icons below for your convenience.

Stay Current

See more newsletter and alert options.

PYA Population Health Ascend

PYA Healthcare Blog

PYA Thought Leadership Services

The Healthcare Loop